| NPI | 1851321442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD60421229) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT 10502) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT 10502) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MT 10502) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60421229) | |
| 207R00000X Internal Medicine (Licence: WA MD60421229) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2015-08-13 |