| NPI | 1164612495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD467014) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 53880) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: PA MD467014) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 53880) | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2022-07-21 |