NPI | 1558895052 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 72555) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 72555) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: CT 72555) | |
Enumeration Date | 2017-04-12 |
Last Update Date | 2025-07-14 |