NPI | 1962505206 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME122135) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 19901) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME122135) | |
207R00000X Internal Medicine (Licence: KY 39837) | |
207R00000X Internal Medicine (Licence: FL ME122135) | |
Enumeration Date | 2006-09-05 |
Last Update Date | 2022-01-24 |