| NPI | 1831197813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: HI MD15901) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD21997) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: HI MD15901) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD22994) | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-06-12 |