| NPI | 1669438552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M2754) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT MEDPHYSCOMLIC160330) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TX M2754) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2025-06-26 |