| NPI | 1619155900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A91879) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CA A91879) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT 175228) | |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2026-08-20 |