NPI | 1285604207 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA07163200) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA07163200) |
207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25MA07163200) | |
Enumeration Date | 2006-01-23 |
Last Update Date | 2007-12-07 |