NPI | 1790710283 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: IL 36112374) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 36112374) |
207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: IL 36112374) | |
2085B0100X Radiology Body Imaging (Licence: IL 36112374) | |
2085R0204X Radiology Vascular & Interventional Radiology (Licence: IL 36112374) | |
2085U0001X Radiology Diagnostic Ultrasound (Licence: IL 36112374) | |
Enumeration Date | 2006-07-12 |
Last Update Date | 2015-01-22 |