| NPI | 1093009276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: HI MD17066) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 13159296-1205) |
| Enumeration Date | 2011-06-05 |
| Last Update Date | 2024-04-15 |