NPI | 1992765440 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: LA MD.203554) |
Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: LA 203554) |
207R00000X Internal Medicine (Licence: LA 203554) | |
Enumeration Date | 2006-03-27 |
Last Update Date | 2017-05-05 |