| NPI | 1356348932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 21077) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: AL 21077) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2023-08-28 |