NPI | 1033485115 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 309107) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0062148) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 309107) | |
Enumeration Date | 2012-03-22 |
Last Update Date | 2021-06-29 |