NPI | 1427252584 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2016019591) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 219052) |
207R00000X Internal Medicine (Licence: FL ME110458) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2016019591) | |
Enumeration Date | 2007-06-13 |
Last Update Date | 2016-09-30 |