NPI | 1558461970 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 24506) |
Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: KY 29441) |
207RI0011X Internal Medicine Interventional Cardiology (Licence: TN MD024506) | |
Enumeration Date | 2006-09-25 |
Last Update Date | 2024-02-14 |