| NPI | 1598086506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: WA MD61142514) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 51735) |
| 207R00000X Internal Medicine (Licence: WA MD61142514) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WA MD61142514) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2021-06-25 |