NPI | 1518944057 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA G35547) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA G35547) |
Enumeration Date | 2005-12-27 |
Last Update Date | 2020-10-28 |