| NPI | 1629051958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.145032) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 3035) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 03035) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2022-07-12 |