| NPI | 1194102137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A148290) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CA A148290) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2023-06-06 |