NPI | 1578544334 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: IL 036086709) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036086709) |
Enumeration Date | 2005-11-09 |
Last Update Date | 2021-12-27 |