NPI | 1609064880 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A101434) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A101434) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A101434) | |
261QM2500X Clinic/Center, Medical Specialty (Licence: CA A101434) | |
Enumeration Date | 2007-10-12 |
Last Update Date | 2022-11-21 |