NPI | 1952629255 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL ME123808) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD472911) |
207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX N7171) | |
207RC0000X Internal Medicine Cardiovascular Disease (Licence: MN 57076) | |
Enumeration Date | 2010-05-11 |
Last Update Date | 2022-12-06 |