NPI | 1508984956 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35094130) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.094130) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301079978) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301079978) | |
Enumeration Date | 2007-03-26 |
Last Update Date | 2023-11-03 |