| NPI | 1609806041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA G66022) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: CA G66022) |
| 2085N0904X Radiology Nuclear Radiology (Licence: CA G66022) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2024-02-28 |