| NPI | 1457593303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: WA MD60563187) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 53320) |
| 207R00000X Internal Medicine (Licence: FL TRN16628) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WA MD60563187) | |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2020-04-24 |