NPI | 1710967633 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD18357) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD18357) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD18357) | |
Enumeration Date | 2006-01-18 |
Last Update Date | 2020-04-17 |