NPI | 1710077698 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MO 2012018819) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A47908) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: AR T2007-022) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2020-11-03 |