NPI | 1700389533 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD049270) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01096871A) |
Enumeration Date | 2018-03-18 |
Last Update Date | 2025-06-19 |