| NPI | 1386885069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 5556) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 5556) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: GA 5556) | |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2023-07-17 |