NPI | 1528346111 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A127657) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A127657) |
207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CA A127657) | |
Enumeration Date | 2011-07-30 |
Last Update Date | 2024-02-15 |