NPI | 1083647630 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MT 11418) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT 11418) |
207R00000X Internal Medicine (Licence: MT 11418) | |
Enumeration Date | 2006-07-08 |
Last Update Date | 2021-09-13 |