NPI | 1386647782 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA 12972R) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 12972R) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 16262) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 104069) | |
Enumeration Date | 2005-05-31 |
Last Update Date | 2020-09-10 |