| NPI | 1437544400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.142801) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066360) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301115369) | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2021-08-19 |