NPI | 1942611140 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VT 042.0017070) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61266479) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD61266479) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 292464) | |
Enumeration Date | 2014-05-12 |
Last Update Date | 2023-08-31 |