| NPI | 1194894014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036126511) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP833) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY TP833) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2019-03-27 |