| NPI | 1215465307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036171090) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT213475) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MT213475) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2024024174) | |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2024-08-05 |