| NPI | 1700825817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WA MD00042030) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OR MD179631) |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: WA MD00042030) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2022-07-21 |