NPI | 1669904256 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A165242) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A165242) |
Enumeration Date | 2017-04-01 |
Last Update Date | 2024-09-17 |