| NPI | 1447698485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2022-02232) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 58158) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME145519) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NC 2022-02232) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2022-10-04 |