NPI | 1528192820 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35070483K) |
Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: OH 2417) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2018-04-23 |