| 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 |