| NPI | 1083902431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CO DR.0060690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.207044) |
| 207R00000X Internal Medicine (Licence: MI 4301098836) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2018-09-10 |