| NPI | 1487743316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MA 75960) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 75960) |
| 207R00000X Internal Medicine (Licence: MA 75960) | |
| 207U00000X Nuclear Medicine (Licence: MA 75960) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2011-10-18 |