| NPI | 1245334754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: RI MD18901) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR0059310) |
| 207R00000X Internal Medicine (Licence: VA 0101236856) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101236856) | |
| 207RM1200X Internal Medicine, Magnetic Resonance Imaging (MRI) (Licence: VA 0101236856) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: VA 0101236856) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2023-02-16 |