| NPI | 1649241076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO 51474) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 51474) |
| 207R00000X Internal Medicine (Licence: CO 514474) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2013-12-18 |