| NPI | 1518262088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 037175586) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 000000) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD489241C) | |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2026-05-15 |