| NPI | 1104147560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0057114) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125058582) |
| 207R00000X Internal Medicine (Licence: CO DR.0057114) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CO DR.0057114) | |
| 207R00000X Internal Medicine (Licence: WY 10740A) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036132053) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WY 10740A) | |
| 207U00000X Nuclear Medicine (Licence: WY 10740A) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2016-12-02 |