| NPI | 1407027014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 069043) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036120108) |
| Enumeration Date | 2008-03-23 |
| Last Update Date | 2018-10-03 |