NPI | 1962493171 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 12290) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 12290) |
Enumeration Date | 2005-11-04 |
Last Update Date | 2008-05-15 |