| NPI | 1528689056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036164233) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10070667) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2023-05-23 |