| NPI | 1245680164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI EMC0004211) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.069131) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 72897-20) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 125.069131) | |
| 208000000X Pediatrics (Licence: IL 125.069131) | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2024-06-24 |