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 |