| NPI | 1548243561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101257907) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 97340506) |
| 207R00000X Internal Medicine (Licence: RI 14941) | |
| 207R00000X Internal Medicine (Licence: MA 219160) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 12239) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NH 12239) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2020-07-22 |