| NPI | 1457730269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 287337) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL MT209154) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2023-04-03 |