| NPI | 1003860115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 233981) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 238563) |
| 2085N0904X Radiology, Nuclear Radiology (Licence: NY 238563) | |
| 207R00000X Internal Medicine (Licence: MA 233981) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2014-03-03 |