| NPI | 1659315737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 51072) |
| Additional Taxonomies | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: GA 51072) |
| 2085N0904X Radiology Nuclear Radiology (Licence: GA 51072) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-08 |