NPI | 1700876612 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME65562) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME 65562) |
Enumeration Date | 2005-10-24 |
Last Update Date | 2022-07-21 |