NPI | 1801922521 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A68391) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A68391) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2020-11-09 |