NPI | 1659315737 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
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 |