| NPI | 1447340112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101028975) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 13684) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 38394) | |
| 2086S0129X Surgery Vascular Surgery (Licence: VA 0101028975) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: VA 0101028975) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-11-11 |