| NPI | 1699296319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MI 4301509437) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125070077) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2024-06-24 |