| NPI | 1821010067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 200201012) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 200201012) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NC 200201012) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC 200201012) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2015-03-24 |