| NPI | 1952506107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO DR.0049927) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CO DR.0049927) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2021-07-09 |