| NPI | 1366478810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD00044227) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 159408) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2022-02-04 |