| NPI | 1316041635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35.095531) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: KY TP951) |
| 207U00000X Nuclear Medicine (Licence: KY TP951) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: KY TP951) | |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2020-11-16 |