| NPI | 1811047525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD70043939) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA G56275) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2026-06-02 |