| NPI | 1619925575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT MED-PHYS-LIC-89184) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX J7580) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TX J7580) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2021-11-09 |