| NPI | 1093762106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD 00049311) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 39842) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD 00049311) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2021-04-15 |