| NPI | 1386625069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA G22925) |
| Additional Taxonomies | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: CA G22925) |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: CA G22925) | |
| 207RH0005X Internal Medicine Hypertension Specialist (Licence: CA G22925) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2011-11-10 |