NPI | 1114915824 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME79231) |
Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL ME79231) |
Enumeration Date | 2005-10-07 |
Last Update Date | 2018-03-17 |