NPI | 1457446684 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A78854) |
Additional Taxonomies | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: CA A78854) |
207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: CA A78854) | |
Enumeration Date | 2006-10-04 |
Last Update Date | 2016-03-09 |