| NPI | 1265590863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 4301083845) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA A97987) |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: CA A97987) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |