| 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 |