| NPI | 1497118020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A202726) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.157098) |
| 207P00000X Emergency Medicine (Licence: IL 036.157098) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2025-05-26 |