| NPI | 1043311277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 56466) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 11571) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME MD21353) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 56466) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 11571) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2021-12-01 |