NPI | 1245867118 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL OS21955) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS21955) |
Enumeration Date | 2020-03-23 |
Last Update Date | 2025-07-21 |