| NPI | 1003140484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD477543) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MT203313) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35130819) | |
| 207RM1200X Internal Medicine, Magnetic Resonance Imaging (MRI) (Licence: IL 125.068160) | |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2022-09-01 |