| NPI | 1861426363 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036156903)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301111758)  | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME35992)  | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301111758)  | |
| Enumeration Date | 2006-07-10 | 
| Last Update Date | 2021-09-27 |