NPI | 1104084631 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME137275) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX P1339) |
Enumeration Date | 2008-05-31 |
Last Update Date | 2019-07-01 |