| NPI | 1194927962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101247717) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD429389) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: PA MD429389) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2012-10-03 |