| NPI | 1295732253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 197279) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 039090) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CT 039090) | |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2013-12-18 |