| NPI | 1457319659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 4449) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34008475) |
| 207R00000X Internal Medicine (Licence: AZ 4449) | |
| 174400000X Specialist | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: AZ 4449) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2011-08-30 |