| NPI | 1861426009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD61004692) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX J3794) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-01-27 |