NPI | 1245329127 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME102709) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME102709) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME102709) | |
Enumeration Date | 2006-10-11 |
Last Update Date | 2021-08-26 |