| NPI | 1285848291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 54668) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA MD-51819) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036119195) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2023-08-14 |