NPI | 1265642193 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 49677) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.099872) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.099872) | |
Enumeration Date | 2007-05-22 |
Last Update Date | 2021-11-01 |