| NPI | 1649247487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: DE C10005634) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: DE C1-0005634) |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: DE C1-00054634) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: DE C1-0005634) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2021-05-18 |