NPI | 1548254972 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036054943) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301043406) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301043406) | |
Enumeration Date | 2005-08-31 |
Last Update Date | 2020-01-02 |