| NPI | 1194947929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME109692) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME109692) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: FL ME109692) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2015-05-08 |