| NPI | 1114980703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA A64941) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A64941) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A64941) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: CA A64941) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2023-01-17 |