| NPI | 1245452994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO DR.0047426) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 47426) |
| 207R00000X Internal Medicine (Licence: CO DR.0047426) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 28429) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WY 10035A) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2016-12-01 |