| NPI | 1366467813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 3605671) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: IL 3605671) |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: IL 3605671) | |
| 2085B0100X Radiology Body Imaging (Licence: IL 3605671) | |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: IL 3605671) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2009-11-11 |