NPI | 1043262405 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301074659) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301074659) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301074659) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101239925) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101239925) | |
Enumeration Date | 2006-05-16 |
Last Update Date | 2019-12-31 |