NPI | 1104824861 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME88082) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME88082) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME88082) | |
Enumeration Date | 2005-07-07 |
Last Update Date | 2024-01-19 |