| NPI | 1245590108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CO DR.0062716) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-01095) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CO DR.0062716) | |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2020-03-18 |