| NPI | 1780939967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036166061) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A142868) |
| 207R00000X Internal Medicine (Licence: IN 11016597) | |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2023-07-28 |