| NPI | 1609887124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AR E3240) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: AR E3240) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2011-10-04 |