| NPI | 1659349512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 29915) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: AZ 29915) |
| 207U00000X Nuclear Medicine (Licence: AZ 29915) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2024-01-11 |