| NPI | 1750812822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: IL 036.150296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.150296) |
| 207R00000X Internal Medicine (Licence: IL 125.070274) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036.150296) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: WI 81403-21) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2025-08-22 |