| NPI | 1811932148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A60919) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60041930) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 37511) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD60041930) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036138437) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2023-08-11 |