| NPI | 1568658243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA OP60505950) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2007-014326) |
| 207R00000X Internal Medicine (Licence: KY 03263) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ID O0839) | |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2015-12-31 |