NPI | 1548346349 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD00031838) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00031838) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2011-04-27 |