| NPI | 1467803122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036149859) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125069011) |
| 207R00000X Internal Medicine (Licence: IL 036149859) | |
| 207R00000X Internal Medicine (Licence: OH 57248471) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036149859) | |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2026-05-27 |