| NPI | 1245783349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO TDP.0041924) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO TDP.0041924) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CO TDP.0041924) | |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2019-03-25 |