| NPI | 1639186406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AR E-5291) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036112423) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 207229) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2023-03-27 |