| NPI | 1336116995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: NJ 25MA05301300) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA05301300) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MA05301300) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2024-10-15 |