NPI | 1104052570 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 263665) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 263665) |
207R00000X Internal Medicine (Licence: NY 263665) | |
Enumeration Date | 2009-05-29 |
Last Update Date | 2016-06-01 |