| NPI | 1962403998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036-087491) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-087491) |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2013-09-27 |