NPI | 1841679370 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 56229) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 56229) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 56229) | |
Enumeration Date | 2015-05-29 |
Last Update Date | 2025-09-03 |