| NPI | 1902838154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: WA MD00046428) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WA MD00046428) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-12-08 |