| NPI | 1235135708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CO 40678) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NE 22250) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CO 40678) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: CO 40678) | |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2014-06-11 |