NPI | 1265795140 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036157829) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 292291) |
Enumeration Date | 2012-06-17 |
Last Update Date | 2022-02-23 |