| NPI | 1215153929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA OS012774) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS012774) |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: PA OS012774) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-05 |