| NPI | 1609931005 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CO 45388) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CO DR.0045388) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: NE 24731) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2022-12-13 |