| NPI | 1528076718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA C165619) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 249446-1) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: RI MD14689) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036123863) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-06-01 |