| NPI | 1154762870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036148954) |
| Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: IL 036148954) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2019-07-09 |