NPI | 1932269503 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KY 55097) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME 60368) |
207RC0000X Internal Medicine Cardiovascular Disease (Licence: ND 11393) | |
207RI0011X Internal Medicine Interventional Cardiology (Licence: ND 11393) | |
207RI0011X Internal Medicine Interventional Cardiology (Licence: FL ME60368) | |
207RI0011X Internal Medicine Interventional Cardiology (Licence: NC 2015-01053) | |
Enumeration Date | 2006-12-12 |
Last Update Date | 2022-08-02 |