NPI | 1376543868 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA06177900) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA06177900) |
207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25MA06177900) | |
Enumeration Date | 2005-07-26 |
Last Update Date | 2014-09-22 |