| NPI | 1134187339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: MO R5H86) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R5H86) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-09-18 |