NPI | 1669598629 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2013020657) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2013020657) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: UT 7943992-1205) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME112914) | |
Enumeration Date | 2007-03-22 |
Last Update Date | 2023-02-21 |