NPI | 1962865147 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301502345) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351039670) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4351039670) | |
Enumeration Date | 2016-04-04 |
Last Update Date | 2022-06-22 |