| NPI | 1730137688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0047748) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MD D0047748) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-12-09 |