NPI | 1740711829 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 69137) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 84038-20) |
207R00000X Internal Medicine (Licence: CA A160330) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 69137) | |
Enumeration Date | 2017-03-21 |
Last Update Date | 2024-09-10 |