| NPI | 1609924760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301101753) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301101753) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 234768) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301101753) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-03-05 |