| NPI | 1285608976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036-120790) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036120790) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2014-06-11 |