NPI | 1417117581 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA A112871) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A112871) |
207RI0011X Internal Medicine Interventional Cardiology (Licence: TX T3882) | |
Enumeration Date | 2008-06-12 |
Last Update Date | 2024-06-20 |