| NPI | 1073809570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: IL 036.135694) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IL 125.059323) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2018-06-28 |