| NPI | 1235366634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2015-01-443) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 157356) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NC 2015-01-443) | |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2022-07-21 |