NPI | 1184700551 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA06356900) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 168707) |
207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25MA06356900) | |
Enumeration Date | 2006-10-28 |
Last Update Date | 2015-01-08 |