| NPI | 1265847214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A168576) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2016026091) |
| 207R00000X Internal Medicine (Licence: IL 125065679) | |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2020-10-02 |