| NPI | 1114083920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NH NH5202) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH NH5202) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH NH5202) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2025-09-11 |