| NPI | 1619130697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.140588) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092750) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036140588) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2021-07-14 |