| NPI | 1386638518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 32168) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 037711) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: SC 32168) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: GA 037711) | |
| 207R00000X Internal Medicine (Licence: SC 32168) | |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2026-01-12 |