NPI | 1467689869 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A115732) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO DR.0058052) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0058052) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-06-12 |
Last Update Date | 2019-04-15 |