| NPI | 1265465017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA MD.204124) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 58167) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 326121) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MS 27186) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: GA 58167) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TN 45842) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-04-03 |