| NPI | 1336142017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: IL 036110034) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036110034) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036110034) | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2024-01-05 |