| NPI | 1851340384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD00019692) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA 0019692) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA 0019692) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ID M4784) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD12906) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2012-08-02 |