| NPI | 1063729580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A139638) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 26972) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CA A139638) | |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2024-04-24 |