NPI | 1851557136 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL ME158140) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054019) |
207RC0000X Internal Medicine Cardiovascular Disease (Licence: MA 261990) | |
Enumeration Date | 2008-08-05 |
Last Update Date | 2022-08-10 |