NPI | 1609316140 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101265374) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101265374) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101265374) | |
Enumeration Date | 2017-03-02 |
Last Update Date | 2024-07-11 |