| NPI | 1619189057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2010-00526) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 230785) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: MA 230785) | |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2021-05-20 |