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 |