NPI | 1609001262 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 27045) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD61626046) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD223517) | |
Enumeration Date | 2009-05-26 |
Last Update Date | 2025-05-28 |