| NPI | 1558322461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 29395) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: WI 29395) |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: WI 29395) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WI 29395) | |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2021-01-13 |