| NPI | 1285075820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036157280) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 58211) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 58211) | |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2021-09-01 |