| NPI | 1457694630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0102204410) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: VA 0102204410) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2025-04-01 |