NPI | 1609952597 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C54874) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-115853) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA C54874) | |
Enumeration Date | 2006-10-31 |
Last Update Date | 2022-11-02 |