NPI | 1811260607 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 57953) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 0089) |
Enumeration Date | 2012-02-10 |
Last Update Date | 2018-07-02 |