| NPI | 1922488758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 63652) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT209573) |
| 207R00000X Internal Medicine (Licence: IL 036145673) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 288939) | |
| Enumeration Date | 2015-06-07 |
| Last Update Date | 2021-10-01 |