NPI | 1114150257 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: VA 0101279579) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-00985) |
207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 284258) | |
207RI0011X Internal Medicine Interventional Cardiology (Licence: NY 284258-1) | |
Enumeration Date | 2009-08-24 |
Last Update Date | 2024-05-28 |