| NPI | 1497984918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD60723759) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2009013663) |
| 207R00000X Internal Medicine (Licence: WA MD60723759) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60723759) | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2017-11-29 |