| NPI | 1609154418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 63204) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036133895) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 63204) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036133895) | |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2023-09-20 |