| NPI | 1366404154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 21653) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: GA 21653) |
| 207UN0902X Nuclear Medicine Nuclear Imaging & Therapy (Licence: GA 21653) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2019-09-27 |