NPI | 1679550123 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA G47622) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G47622) |
Enumeration Date | 2005-12-27 |
Last Update Date | 2021-11-05 |