| NPI | 1023017019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036116210) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2001016936) |
| 174400000X Specialist (Licence: IL 036116210) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2021-12-31 |