NPI | 1225063324 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MB05967200) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25mb05967200) |
207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25mb05967200) | |
Enumeration Date | 2006-07-11 |
Last Update Date | 2019-07-03 |