| NPI | 1578624979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA OP60925890) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP60925890) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M8359) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: WA OP60925890) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2019-07-25 |