| NPI | 1487973285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 253701) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 244595) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: MA 11130) | |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2018-06-14 |