| NPI | 1265419741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD60134221) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 18209) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60134221) | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2015-06-09 |