| NPI | 1083147573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036170451) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036170451) |
| 207R00000X Internal Medicine (Licence: IL 036170451) | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2024-08-27 |