NPI | 1356732556 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036146272) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066453) |
Enumeration Date | 2015-02-10 |
Last Update Date | 2023-12-01 |