| NPI | 1669735734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX R5643) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125061820) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TX R5643) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2023-05-19 |