NPI | 1396767695 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 068877) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301078954) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 068877) | |
Enumeration Date | 2006-07-24 |
Last Update Date | 2013-01-09 |