| NPI | 1205023140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246W00000X Technician, Cardiology (Licence: IL 32953) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: IL 32952) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |