| NPI | 1174613855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO DR.0032221) |
| Additional Taxonomies | 2085N0904X (Licence: CO DR.0032221) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0032221) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2025-10-29 |