| NPI | 1639431307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NC 2015-00428) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-00428) |
| 207R00000X Internal Medicine (Licence: SC LL34733) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2015-00428) | |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2021-02-18 |