| NPI | 1811143548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036123944) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-123944) |
| 207R00000X Internal Medicine (Licence: IL 125051740) | |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2022-09-12 |