| NPI | 1811151723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD60829836) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 54980) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60829836) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO 54980) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2018-06-26 |