| NPI | 1629079876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: AZ 32305) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: AZ 32305) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-02-24 |