| NPI | 1891916219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0071996) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M5520) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.128842) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2024-11-22 |