| NPI | 1891921920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: PA MD451309) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD451309) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: WA MD60558733) | |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2022-09-02 |