NPI | 1942261904 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA 20A4904) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 20A4904) |
Enumeration Date | 2006-03-30 |
Last Update Date | 2015-02-17 |