| NPI | 1235557034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2018-00948) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0058546) |
| 207R00000X Internal Medicine (Licence: NC 2018-00948) | |
| 207R00000X Internal Medicine (Licence: VA 0101281428) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101281428) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101281428) | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2024-05-22 |