| NPI | 1285635730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00016907) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA 16907) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2011-09-21 |