| NPI | 1386853901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX R1209) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R1209) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036122720) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2023-03-23 |