| NPI | 1396363321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 125.077075) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.077075) |
| 208600000X Surgery (Licence: IL 125.077075) | |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2023-10-18 |