| NPI | 1255562146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036129235) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125056600) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2019-12-09 |