| NPI | 1396849964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 039397) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CT 039397) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: CT 039397) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2017-04-04 |