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 |