NPI | 1700012820 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD444353) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA09075400) |
Enumeration Date | 2009-06-03 |
Last Update Date | 2018-06-28 |