NPI | 1285680488 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD00020411) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ID M-5711) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2015-12-31 |