| NPI | 1093700874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0049864) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: FL 49864) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: FL 49864) | |
| 207R00000X Internal Medicine (Licence: FL 49864) | |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2012-12-17 |