| NPI | 1366825630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A202188) |
| Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: CA A202188) |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: CA A202188) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CA A202188) | |
| 207RH0005X Internal Medicine, Hypertension Specialist (Licence: CA A202188) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A202188) | |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2025-09-08 |