NPI | 1083603708 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TN 30209) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 30209) |
207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 35267) | |
207RI0011X Internal Medicine Interventional Cardiology (Licence: GA 35267) | |
Enumeration Date | 2005-10-14 |
Last Update Date | 2021-01-10 |