NPI | 1821219106 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MS 19714) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA MD.15474R) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2010-01-14 |