NPI | 1134346836 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD60287555) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MD D81014) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD450900) | |
Enumeration Date | 2007-04-20 |
Last Update Date | 2021-07-07 |