| NPI | 1699783126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036079417) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-41488) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2016014256) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 65565) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301114096) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2019-08-27 |