| NPI | 1518255124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: IL 036135532) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: IN 01080545A) |
| 207R00000X Internal Medicine (Licence: IL 125059555) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036135532) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IN 01080545A) | |
| Enumeration Date | 2011-07-17 |
| Last Update Date | 2025-01-29 |