| NPI | 1174560403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: CT 051946) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 220964) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 220964) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CT 051946) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2013-07-03 |