NPI | 1770544264 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD038912E) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD038921E) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD038921E) | |
Enumeration Date | 2006-04-01 |
Last Update Date | 2023-03-15 |