NPI | 1790988947 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MO 2012016488) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD431654) |
Enumeration Date | 2007-06-06 |
Last Update Date | 2014-03-13 |