NPI | 1699076596 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: AZ 56369) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 56369) |
Enumeration Date | 2010-11-09 |
Last Update Date | 2019-07-10 |