NPI | 1750812822 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WI 81403-21) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.150296) |
207R00000X Internal Medicine (Licence: IL 125.070274) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.150296) | |
Enumeration Date | 2017-03-21 |
Last Update Date | 2024-06-18 |