NPI | 1104322676 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 02006313A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02006313A) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 02006313A) | |
Enumeration Date | 2018-04-03 |
Last Update Date | 2024-08-30 |