NPI | 1316938707 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD045709L) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA06408100) |
Enumeration Date | 2005-11-03 |
Last Update Date | 2021-05-18 |