| NPI | 1407122849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036137753) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 02005872A) |
| 207R00000X Internal Medicine (Licence: IL 036137753) | |
| 207R00000X Internal Medicine (Licence: IL 125061548) | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2024-11-01 |