| NPI | 1215019328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME143903) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036-082727) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036082727) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2022-04-27 |