| NPI | 1386393502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036173995) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125079540) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2025-05-07 |