| NPI | 1821172198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036084425) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036-084425) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2012-11-26 |