| NPI | 1245285402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2018-02147) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0064227) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MD D0064227) | |
| 207U00000X Nuclear Medicine (Licence: MD D0064227) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: MD D0064227) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2023-03-01 |