NPI | 1922549195 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2024-01687) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2024-01687) |
207R00000X Internal Medicine (Licence: IL 125070881) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2024-01687) | |
Enumeration Date | 2017-03-20 |
Last Update Date | 2024-10-01 |