NPI | 1144595372 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CT 53975) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 53975) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 53975) | |
Enumeration Date | 2012-03-21 |
Last Update Date | 2021-07-27 |