| NPI | 1275532129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35-092822) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-092822) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD070611L) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D89839) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD070611L) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: OH 35-092822) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: PA MD070611L) | |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2020-09-30 |