| NPI | 1255381109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD00043943) |
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: MT MED-PHYS-LIC-12142) |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: WA MD00043943) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00043943) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2023-08-23 |