NPI | 1316946700 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 66630) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036073394) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 36-073394) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036073394) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 36-073394) | |
Enumeration Date | 2005-07-18 |
Last Update Date | 2023-01-06 |