| NPI | 1700132750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036170870) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ND 21278) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WY 12584A) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WY 12584A) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 278659) | |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2024-08-21 |