NPI | 1225311095 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX V7100) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME150651) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME150651) | |
Enumeration Date | 2011-09-27 |
Last Update Date | 2025-06-14 |