NPI | 1164415907 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 39620) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 39620) |
Enumeration Date | 2005-08-26 |
Last Update Date | 2021-11-01 |