| NPI | 1528285509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD60803149) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036124609) |
| 207R00000X Internal Medicine (Licence: KS 0431856) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 097328) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2021-04-05 |