NPI | 1104807023 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 87240) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301079862) |
Enumeration Date | 2005-11-08 |
Last Update Date | 2020-11-19 |