| NPI | 1255314944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA OP60194415) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA OP60194415) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: HI DOS-843) | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2019-04-28 |