| NPI | 1164802211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 69459) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066679) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 55994) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ R75969) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2021-06-25 |