| NPI | 1528425204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0102206878) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: FL OS16754) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS16754) | |
| 207R00000X Internal Medicine (Licence: FL OS16754) | |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2026-04-09 |