| NPI | 1164401501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO DR.0029553) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM 0430230) |
| 207R00000X Internal Medicine (Licence: NM 0430230) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0029553) | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2014-10-28 |