NPI | 1053301606 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TN 16657) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 16657) |
Enumeration Date | 2005-10-25 |
Last Update Date | 2020-08-17 |