NPI | 1265419741 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD60134221) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 18209) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60134221) | |
Enumeration Date | 2005-12-27 |
Last Update Date | 2015-06-09 |