| NPI | 1568484061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 215489) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 215489) |
| 207UN0903X Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine (Licence: NY 215489) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-09-12 |