| NPI | 1194773374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036-127020) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01060930) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01060930A) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2024-02-22 |