| NPI | 1164556304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: PR 4739) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 23783) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 23783) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2009-12-22 |