NPI | 1023373545 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX S3029) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S3029) |
Enumeration Date | 2012-07-10 |
Last Update Date | 2020-11-06 |