| NPI | 1114919073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: UT 319328-1205) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: UT 319328-1205) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: UT 319328-1205) | |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2021-10-20 |