NPI | 1780047183 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD223312) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D89233) |
Enumeration Date | 2016-04-01 |
Last Update Date | 2025-08-19 |