| NPI | 1376906917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.160410) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 69487-21) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 69487-21) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2023-09-07 |