| NPI | 1215017132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT MED-PHYS-LIC-115404) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00019242) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD00019242) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2024-02-19 |