NPI | 1053353029 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA G161416) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 9400849) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 9400849) | |
Enumeration Date | 2006-06-12 |
Last Update Date | 2019-10-29 |