NPI | 1962909952 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD225793) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD225793) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0146781) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ R80746) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD225793) | |
Enumeration Date | 2018-04-07 |
Last Update Date | 2025-07-09 |