NPI | 1154636405 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX V3027) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 25275) |
Enumeration Date | 2010-08-11 |
Last Update Date | 2024-10-01 |