| NPI | 1740266550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: AZ 30671) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 30671) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CO DR.34718) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: CO DR.0034718) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2020-08-06 |