| NPI | 1871930719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.162628) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.162628) |
| 207R00000X Internal Medicine (Licence: LA 309552) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 309552) | |
| Enumeration Date | 2013-06-02 |
| Last Update Date | 2022-10-21 |