NPI | 1902293749 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 77030) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: UT 10102120-1205) |
Enumeration Date | 2015-04-20 |
Last Update Date | 2025-07-22 |