NPI | 1093003766 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME141056) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 57728) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME141056) | |
Enumeration Date | 2011-07-15 |
Last Update Date | 2020-08-28 |