NPI | 1609873850 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A83907) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A83907) |
207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CA A83907) | |
Enumeration Date | 2005-07-01 |
Last Update Date | 2012-02-07 |