| NPI | 1205832722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CO 40942) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NE 22819) |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: CO 40942) | |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2014-12-09 |