| NPI | 1104453091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036.159779) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ZZ 2029123759) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.159779) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD218938) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ZZ 2029123759) | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2024-04-10 |