NPI | 1528599222 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 3616) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R4613) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 3616) | |
Enumeration Date | 2017-03-23 |
Last Update Date | 2024-07-31 |