| NPI | 1679890602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101258770) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101258770) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: VA 0101258770) | |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2023-07-14 |