NPI | 1467565796 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WV 09941) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 09941) |
207R00000X Internal Medicine (Licence: WV 09941) | |
Enumeration Date | 2006-08-17 |
Last Update Date | 2015-12-14 |