NPI | 1205114899 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A117724) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A117724) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036.139833) | |
Enumeration Date | 2011-07-29 |
Last Update Date | 2025-06-04 |