| NPI | 1629027156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD202898) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ID M-4821) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA M00020829) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA 20829) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA 20829) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ID M-4821) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA M00020829) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2022-08-29 |