NPI | 1750539169 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2021-03181) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 44812) |
207R00000X Internal Medicine (Licence: MD p22736) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 31827) | |
Enumeration Date | 2008-08-28 |
Last Update Date | 2021-11-30 |