| NPI | 1154398626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P9021) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301077406) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: MI 4301077406) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TX P9021) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2024-09-25 |