| NPI | 1154573905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036-127126) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125055038) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2021-02-19 |