| NPI | 1366678567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2012029909) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP647) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY TP647) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: KY TP647) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: MO 2012029909) | |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2013-08-14 |