NPI | 1497717565 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME92574) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME92574) |
207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: FL ME92574) | |
Enumeration Date | 2006-04-04 |
Last Update Date | 2016-08-16 |