| NPI | 1104821925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: CT 038738) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CT 038738) |
| 207RH0005X Internal Medicine Hypertension Specialist (Licence: CT 038738) | |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2018-02-13 |