| NPI | 1134346836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: WA MD60287555) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MD D81014) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: PA MD450900) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2021-07-07 |