| NPI | 1780022905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 100615) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036141465) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 281462) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2023-10-17 |