| NPI | 1386614170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IA 24847) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA G56455) |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: CA G56455) | |
| 207R00000X Internal Medicine (Licence: IA 24847) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2008-11-25 |