| NPI | 1578647970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085-002019) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IL 085.002019) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2021-12-16 |