| NPI | 1235358557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME112224) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 231119) |
| 207U00000X Nuclear Medicine (Licence: FL ME112224) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2019-04-03 |