| NPI | 1710190095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A105189) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0056532) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD186631) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2024-05-28 |