| NPI | 1215048574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036153016) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 12760) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ND 12760) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-03-12 |