NPI | 1962508796 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MA 58056) |
Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NH 9622) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2016-09-09 |