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 |