| NPI | 1720037617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101038244) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101038244) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: VA 0101038244) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2010-11-29 |