NPI | 1174185607 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE CP1119) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.140395) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 68200) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 77864-20) | |
Enumeration Date | 2019-07-04 |
Last Update Date | 2025-09-11 |