| NPI | 1992058333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036155258) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME109404) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036155258) | |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2023-03-13 |