NPI | 1750849675 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-018909) |
Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: IL 209-018909) |
Enumeration Date | 2019-03-10 |
Last Update Date | 2024-05-31 |