NPI | 1295153880 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD61145791) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R9445) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 307858) | |
Enumeration Date | 2014-04-01 |
Last Update Date | 2022-05-03 |