| NPI | 1174853899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL me0042451) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL me0042451) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: FL me0042451) | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: FL me0042451) | |
| 207UN0903X Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine (Licence: FL me0042451) | |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2009-12-31 |