| NPI | 1235148339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 48363) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036079835) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 30011) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2023-01-19 |