| NPI | 1972821825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 02004853A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10037099) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036167410) | |
| Enumeration Date | 2010-05-16 |
| Last Update Date | 2023-12-20 |