| NPI | 1568575173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: RI MD14147) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 336.080316) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 044910) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2017-11-01 |