| NPI | 1619951829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00033695) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD00033695) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2014-11-10 |