| NPI | 1609938638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OR MD163116) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD163116) |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: OR MD163116) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2013-11-13 |