| NPI | 1942461462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60740452) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 042007998) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036115530) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 042007998) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2022-05-23 |