| NPI | 1194752220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO R2H08) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MO R2H08) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO R2H08) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2024-04-25 |