| NPI | 1902812746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 61337) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01066979A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036113769) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-10-26 |