| NPI | 1679748024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A88153) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101243587) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CA A88153) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2024-10-18 |