| NPI | 1922142223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036140942) |
| Additional Taxonomies | 207ZM0300X Pathology, Medical Microbiology (Licence: OH 35-041267) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2019-01-02 |