| NPI | 1750424222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 0024532) |
| Additional Taxonomies | 246XC2901X Spec/Tech, Cardiovascular, Cardiovascular Invasive Specialist (Licence: CO 24532) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2016-09-23 |