| NPI | 1578537551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL MFC1499) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL MFC1499) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2008-05-06 |