| NPI | 1689651770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 063858) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: GA 063858) |
| 208600000X Surgery (Licence: GA 063858) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2019-12-18 |