NPI | 1922521012 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 46446) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 312694) |
Enumeration Date | 2017-07-20 |
Last Update Date | 2024-07-01 |