NPI | 1124092051 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD22936) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD22936) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD22936) | |
207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: OR MD22936) | |
Enumeration Date | 2006-02-15 |
Last Update Date | 2021-03-29 |