NPI | 1902115520 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD177809) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD177809) |
Enumeration Date | 2010-09-30 |
Last Update Date | 2025-04-28 |