NPI | 1205862943 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: SC 23749) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 23749) |
207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: SC 23749) | |
Enumeration Date | 2006-06-24 |
Last Update Date | 2021-08-24 |