| NPI | 1063660074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085003278) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: IL 085-003278) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2022-12-21 |