| NPI | 1326076266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 022083) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: LA 022083) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2016-08-22 |