NPI | 1164807087 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2023004697) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP552) |
207R00000X Internal Medicine (Licence: MI 4301107551) | |
Enumeration Date | 2015-07-21 |
Last Update Date | 2024-11-07 |