| NPI | 1619939014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 4706) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 4706) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NH 4706) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2009-02-05 |