| NPI | 1457357824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CO 31481) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NE 18930) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: CO 31481) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2016-03-16 |