NPI | 1699911123 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036115302) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2009008650) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2009008650) | |
Enumeration Date | 2009-01-06 |
Last Update Date | 2023-09-12 |