| NPI | 1528374030 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036132362) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036132362) | 
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036132362) | |
| Enumeration Date | 2010-08-20 | 
| Last Update Date | 2021-04-30 |