| NPI | 1013995406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME110155) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME110155) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: FL ME110155) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: FL ME110155) | |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2018-03-17 |