| NPI | 1265851000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 67113-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125064803) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2023-01-17 |