NPI | 1851670608 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME147437) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 56950) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 56950) | |
Enumeration Date | 2011-08-11 |
Last Update Date | 2022-10-05 |