| NPI | 1093856023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101042820) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101042820) |
| 207RM1200X Internal Medicine Magnetic Resonance Imaging (MRI) (Licence: VA 0101042820) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: VA 0101042820) | |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2020-12-28 |