| NPI | 1558556217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 234085) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 240168) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NY 240168) | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2013-11-19 |