NPI | 1225253800 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: AZ 48310) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 48310) |
207R00000X Internal Medicine (Licence: NC 2009-00416) | |
Enumeration Date | 2007-04-17 |
Last Update Date | 2023-02-27 |