NPI | 1609398999 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD615645599) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SD 15437) |
Enumeration Date | 2017-07-09 |
Last Update Date | 2024-09-07 |