NPI | 1568453835 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: OK 14792) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OK 14792) |
Enumeration Date | 2005-11-04 |
Last Update Date | 2016-11-28 |