| NPI | 1679733760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA CA162072) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125053413) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036124891) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2021-10-21 |