| NPI | 1477940435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 74778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD464405) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.152998) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2024-03-29 |