| NPI | 1205031549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: UT 7311687-1205) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: UT 73116871205) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2021-09-15 |