NPI | 1639377179 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX M2811) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX M2811) |
Enumeration Date | 2007-07-06 |
Last Update Date | 2020-10-27 |