| NPI | 1457436909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 101720) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ MA029681) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NY 101720) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ MA029681) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-11-26 |