| NPI | 1740371152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME88821) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME88821) |
| 207R00000X Internal Medicine (Licence: IL 36131595) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2019-11-20 |