| NPI | 1578790283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MA 251946) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: MA 251946) |
| 207R00000X Internal Medicine (Licence: MA 251946) | |
| Enumeration Date | 2009-06-20 |
| Last Update Date | 2023-06-16 |