| NPI | 1780704791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 36114406) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 36114406) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2016-10-24 |