| NPI | 1164431300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME117652) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 27695) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 27695) | |
| 207RM1200X Internal Medicine, Magnetic Resonance Imaging (MRI) (Licence: OK 27695) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: OK 27695) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: FL ME117652) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2018-11-14 |