NPI | 1003816638 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX J0263) |
Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: TX J0263) |
Enumeration Date | 2005-07-26 |
Last Update Date | 2022-08-15 |