| NPI | 1609190172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 8972456-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35120055) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: UT 8972456-1205) | |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2022-07-01 |