| NPI | 1235456385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 266253) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 16325) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: MA 266233) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2021-06-22 |