| NPI | 1184140410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036.162820) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WY 14458A) |
| 207R00000X Internal Medicine (Licence: OH 35.137303) | |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2023-06-14 |