| NPI | 1578977856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX R0506) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10050454) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TX R0506) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2022-09-23 |