| NPI | 1730132556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: AL 31294) |
| Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: AL 31294) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 31294) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 31294) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2021-02-18 |