NPI | 1063438612 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NH 14354) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-087600) |
207R00000X Internal Medicine (Licence: NH 14354) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 14354) | |
Enumeration Date | 2006-07-15 |
Last Update Date | 2020-07-21 |