| NPI | 1548345374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MT 12249) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WA MD00038729) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: WA MD 00038729) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA G56435) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2024-08-22 |