NPI | 1609042753 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MA 250506) |
Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MA 250506) |
Enumeration Date | 2008-05-07 |
Last Update Date | 2022-02-11 |