| NPI | 1508811456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301081581) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301081581) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301081581) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: MI 4301081581) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: MI 4301081581) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MI 4301081581) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: MI 4301081581) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2013-08-06 |