| NPI | 1366617458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: CT 41697) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CT 041697) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MA 244989) | |
| 207R00000X Internal Medicine (Licence: MA 244989) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: MA 244989) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2015-07-14 |