| NPI | 1760897649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 125-065778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-065778) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 68280) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2020-10-22 |