NPI | 1083902431 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO DR.0060690) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.207044) |
207R00000X Internal Medicine (Licence: MI 4301098836) | |
Enumeration Date | 2011-07-19 |
Last Update Date | 2018-09-10 |