| NPI | 1548294945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: AK 5547) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AK 5547) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: AK 5547) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-05-03 |