| NPI | 1154592061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 41574) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A80105) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 41574) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: AZ 41754) | |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2020-10-09 |