| NPI | 1588047245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036.146813) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WY 13344A) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2022-12-02 |