| NPI | 1942289459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.084308) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 100821) |
| 174400000X Specialist (Licence: MO MD100821) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2026-04-30 |