| NPI | 1093165367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101279423) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036172100) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036172100) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101279423) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2026-04-08 |