NPI | 1437148210 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD045304L) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA07080200) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD045304L) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA07080200) | |
Enumeration Date | 2005-10-14 |
Last Update Date | 2023-03-15 |