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 |