NPI | 1679513626 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 72513) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME147539) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME147539) | |
Enumeration Date | 2006-06-07 |
Last Update Date | 2022-07-03 |