| NPI | 1629283692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD61517126) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101248727) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WV 02671) | |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2024-06-14 |