| NPI | 1518298280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 71395) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 065794) |
| 207R00000X Internal Medicine (Licence: IL 036125610) | |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2019-07-26 |