NPI | 1629207477 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2016023781) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35129185) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036143069) | |
Enumeration Date | 2009-07-14 |
Last Update Date | 2022-04-01 |