| NPI | 1013913482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 38056) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 21275) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CO 38056) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NE 21275) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: WY 6282A) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WY 6282A) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2016-12-02 |