| NPI | 1184692691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 051416) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 51416) |
| 207U00000X Nuclear Medicine (Licence: GA 51416) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2019-12-18 |