| NPI | 1669476545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036120145) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 32148) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 36548) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 48319) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2008-03-28 |