NPI | 1215967021 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MB05238600) |
Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: NJ 25MB52386) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2019-06-28 |