| NPI | 1487615274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M5433) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TX M5433) |
| 207R00000X Internal Medicine (Licence: OR MD25730) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-10-12 |