| NPI | 1477973964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036143484) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 65251) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01083759A) | |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2022-02-01 |