| NPI | 1477983344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: FL ME122660) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME112660) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2023-10-03 |