| NPI | 1275790149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P4941) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P4941) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036114609) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2021-01-13 |