NPI | 1962402024 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101232789) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101232789) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101232789) | |
Enumeration Date | 2005-07-29 |
Last Update Date | 2022-01-24 |