| NPI | 1407953482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME97042) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME97042) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME97042) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2017-02-28 |