| NPI | 1114101128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TN 52911) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 52911) |
| 207R00000X Internal Medicine (Licence: NY 252294) | |
| 207R00000X Internal Medicine (Licence: OH 095984) | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2024-02-14 |