| NPI | 1386055622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036-159515) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301104851) |
| 207R00000X Internal Medicine (Licence: DC MD045022) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036159515) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A168213) | |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2025-01-23 |