NPI | 1639242720 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 54873) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036-127978) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036-127978) | |
Enumeration Date | 2006-11-16 |
Last Update Date | 2021-01-14 |