| NPI | 1982603098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036148990) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036148990) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-06-1263) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2024-12-17 |