| NPI | 1871054056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036159114) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.073630) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2025-06-06 |