NPI | 1124077870 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NY 172463) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 172463) |
Enumeration Date | 2006-05-09 |
Last Update Date | 2018-05-08 |