NPI | 1467643213 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME117537) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME 117537) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME 117537) | |
Enumeration Date | 2007-08-07 |
Last Update Date | 2017-12-06 |