NPI | 1790131779 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME171551) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2016018870) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.152637) | |
Enumeration Date | 2016-05-10 |
Last Update Date | 2025-08-04 |