| NPI | 1285732826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A41129) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0020247) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: MD D0020247) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-11-23 |