| NPI | 1457468761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036063872) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036062872) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036062872) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-12-08 |