| NPI | 1629159835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 40436) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 36113914) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MA 1013353) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-05-24 |