| NPI | 1467455543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD00027395) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA 27395) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MT MED-PHYS-LIC-124695) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2023-04-12 |