| NPI | 1427050640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MA 70372) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MA 70372) |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: MA 70372) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2015-10-09 |