NPI | 1316902612 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME0070518) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0070518) |
207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: FL ME0070518) | |
Enumeration Date | 2006-04-19 |
Last Update Date | 2021-08-23 |