| NPI | 1750588661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.151584) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 2000753) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.200753) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P2545) | |
| 207R00000X Internal Medicine (Licence: IL 125050537) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2022-10-06 |