| NPI | 1922240639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD60733496) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-42396) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-42396) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA MD-42396) | |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2020-12-08 |