NPI | 1174785695 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 109332) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA 109332) |
Enumeration Date | 2008-06-26 |
Last Update Date | 2021-01-18 |