| NPI | 1427019165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 038970) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: GA 38970) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2019-12-02 |