| NPI | 1386040616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD60922630) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 9516) |
| 207R00000X Internal Medicine (Licence: WA MD60922630) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60922630) | |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2019-07-24 |