| NPI | 1538396494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA OP60650638) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10034602) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA OP60650638) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2021-05-10 |