NPI | 1730179854 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD067523L) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA06893300) |
Enumeration Date | 2005-10-28 |
Last Update Date | 2021-05-18 |