| NPI | 1104037274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD420478) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD4204878) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: PA MD420478) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2019-04-03 |