NPI | 1548213721 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME54652) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME54652) |
207RI0011X Internal Medicine Interventional Cardiology (Licence: FL ME54652) | |
Enumeration Date | 2006-05-18 |
Last Update Date | 2007-07-08 |