| NPI | 1265698716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 5508) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-053038) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.124250) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2023-07-31 |