| NPI | 1063503597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 47514) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CO 47514) |
| 207R00000X Internal Medicine (Licence: TX M3523) | |
| 207R00000X Internal Medicine (Licence: CO DR.0047514) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE NE25255) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WY 9208A) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2016-12-01 |