| NPI | 1235556671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.143298) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036143298) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2020-06-01 |