| NPI | 1174796080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME146402) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60633873) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60633873) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD60633873) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME146402) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: FL ME146402) | |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2020-12-28 |