| NPI | 1245339274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 024589) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CT 204589) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2010-08-03 |