| NPI | 1295849602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NE 22421) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: NE 2956) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2011-11-11 |