NPI | 1164738449 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ND 14525) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE tep 6390) |
Enumeration Date | 2010-08-25 |
Last Update Date | 2020-04-07 |