NPI | 1114113719 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME104180) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME104180) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME104180) | |
207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: FL ME104180) | |
2086S0129X (Licence: FL ME104180) | |
Enumeration Date | 2007-09-18 |
Last Update Date | 2021-03-19 |