| NPI | 1003863036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 23667) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NE 22421) |
| 207R00000X Internal Medicine (Licence: NE 23667) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2011-11-10 |