NPI | 1366962177 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NH 25494) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272851) |
Enumeration Date | 2017-06-22 |
Last Update Date | 2024-06-19 |