NPI | 1255326310 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA A60397) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A603971) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A60397) | |
Enumeration Date | 2005-09-14 |
Last Update Date | 2020-12-04 |