| NPI | 1497063200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD43132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD43132) |
| 207R00000X Internal Medicine (Licence: IL 125056490) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2019-03-21 |