| NPI | 1154394823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 20426) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K5131) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: OK 20426) | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2014-09-23 |