| NPI | 1699811430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: VA 0101252031) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101252031) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD424004) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2023-07-17 |