| NPI | 1467429191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A73392) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A73392) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A73392) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2014-12-29 |