| NPI | 1740236405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WA MD00031032) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WA MD31032) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: ID M6726) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OR MD28849) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: ID M6726) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: OR MD28849) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: WA MD28849) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-26 |