NPI | 1225246358 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 232945) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT183374) |
207R00000X Internal Medicine (Licence: PA MD432147) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 232945) | |
Enumeration Date | 2007-05-21 |
Last Update Date | 2023-12-26 |