| NPI | 1265621130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.206769) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 24523) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: LA MD.206769) | |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2023-03-02 |