| NPI | 1881721827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 38286) |
| Additional Taxonomies | 246XC2901X Spec/Tech, Cardiovascular, Cardiovascular Invasive Specialist (Licence: CO 38286) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2021-06-14 |