| NPI | 1629030325 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME90169) | 
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: FL ME90169) | 
| Enumeration Date | 2006-04-06 | 
| Last Update Date | 2020-03-31 |