| NPI | 1659454262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036067900) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036-067900) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2021-12-22 |