| NPI | 1841286770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036053305) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036053305) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036053305) | |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2020-10-06 |