| NPI | 1235102153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA G34681) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA G34681) |
| 207U00000X Nuclear Medicine (Licence: CA G34681) | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2015-05-06 |