| NPI | 1831485705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A163378) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036135296) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2019-10-16 |