NPI | 1003865171 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT MED-PHYS-LIC-9853) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ID M-8273) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: MT 9853) | |
Enumeration Date | 2006-05-08 |
Last Update Date | 2024-10-08 |