| NPI | 1194791293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0073065) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: FL ME0073065) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2020-01-07 |