| NPI | 1386677144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO 44091) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60080825) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 44091) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD60080825) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-07-21 |