NPI | 1083605547 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 156981) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MA 156981) |
207RI0011X Internal Medicine Interventional Cardiology (Licence: MA 156981) | |
Enumeration Date | 2005-11-03 |
Last Update Date | 2007-07-08 |