| NPI | 1588822803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN MD50463) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036120640) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 247444) | |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2022-03-31 |