NPI | 1861984916 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TN 72977) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 276393) |
207R00000X Internal Medicine (Licence: TX T0608) | |
Enumeration Date | 2018-06-05 |
Last Update Date | 2025-08-04 |