| NPI | 1982613006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036-054225) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: IL 036-054225) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2011-06-09 |