| NPI | 1649318023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A82981) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA A82981) |
| 207RM1200X Internal Medicine Magnetic Resonance Imaging (MRI) (Licence: CA A82981) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA A82981) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: CA A82981) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2014-06-13 |