NPI | 1982960746 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 1073691) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.021090) |
Enumeration Date | 2012-04-05 |
Last Update Date | 2023-07-21 |