NPI | 1104453091 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036.159779) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ZZ 2029123759) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.159779) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD218938) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: ZZ 2029123759) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: NM MD2024-1050) | |
Enumeration Date | 2020-03-23 |
Last Update Date | 2024-12-05 |