| NPI | 1255388955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO DR.0046491) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00042626) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00042626) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 46491) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2016-03-18 |