| NPI | 1033485115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 309107) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0062148) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 309107) | |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2021-06-29 |