NPI | 1194897256 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA G28673) |
Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA G28673) |
207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: CA G28673) | |
Enumeration Date | 2006-11-14 |
Last Update Date | 2014-05-21 |