NPI | 1821529777 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL OS20521) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 05424) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS20521) | |
207R00000X Internal Medicine (Licence: LA 322016) | |
Enumeration Date | 2017-03-22 |
Last Update Date | 2025-04-15 |