| NPI | 1144226168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD61248100) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: WA MD61248100) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD61248100) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 37960) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR CP201949) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CO 37960) | |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2022-02-07 |