| NPI | 1184612251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 1031) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 3653) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: AZ 1003) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2014-10-15 |