| NPI | 1790975837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD210347) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD210347) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.137894) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2022-08-03 |