| NPI | 1053052514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: IL 036174373) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.174373) | |
| 207R00000X Internal Medicine (Licence: CA 036174373) | |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2026-04-21 |