NPI | 1639520133 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A151414) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 24198) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A151414) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: NV 26369) | |
Enumeration Date | 2016-06-26 |
Last Update Date | 2025-08-20 |