| NPI | 1568490118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AR E12282) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L9301) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX L9301) | |
| 207U00000X Nuclear Medicine (Licence: TX L9301) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: TX L9301) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-01-23 |