| NPI | 1730111642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 65921) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 59491) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: GA 59491) | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: GA 59491) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-01-06 |