| NPI | 1508853276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 131462) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: NY 131462) |
| Enumeration Date | 2005-09-28 |
| Last Update Date | 2007-07-08 |