NPI | 1669686978 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD424061) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA md424061) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA10128800) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA10128800) | |
Enumeration Date | 2007-05-09 |
Last Update Date | 2019-04-12 |