NPI | 1164818464 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX T5552) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 56702) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-52370) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX T5552) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 56702) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA MD-52370) | |
Enumeration Date | 2015-04-13 |
Last Update Date | 2024-09-17 |