| NPI | 1801161906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036137542) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 0367542) |
| 207R00000X Internal Medicine (Licence: IL 125061795) | |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2022-06-02 |