NPI | 1558742411 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME147322) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-08581) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME147322) | |
208000000X Pediatrics (Licence: KS 94-08581) | |
Enumeration Date | 2015-06-16 |
Last Update Date | 2024-09-09 |