NPI | 1760445720 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5101013721) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101013721) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY TP111) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 03421) | |
Enumeration Date | 2006-04-10 |
Last Update Date | 2016-08-22 |