| NPI | 1326120668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036084147) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036-084147) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2012-12-14 |