NPI | 1497841795 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A119955) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD425449) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A119955) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA MD-41030) | |
Enumeration Date | 2006-10-05 |
Last Update Date | 2019-10-29 |