NPI | 1497015150 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 59338) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 59338) |
Enumeration Date | 2012-05-29 |
Last Update Date | 2019-07-22 |