| NPI | 1922362383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036-137320) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060978) |
| Enumeration Date | 2012-06-30 |
| Last Update Date | 2025-07-15 |