| NPI | 1962558833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD195927) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: HI MD-10961) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00036439) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: HI MD-10961) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2019-11-26 |