NPI | 1194188540 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 71247) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301118902) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.148128) | |
Enumeration Date | 2016-04-02 |
Last Update Date | 2024-09-24 |