| NPI | 1629032172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: PA MD027596E) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD027596E) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101281205) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2024-01-26 |