| NPI | 1730142993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A49366) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A49366) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CA A49366) | |
| 246XC2901X Spec/Tech, Cardiovascular, Cardiovascular Invasive Specialist (Licence: CA A49366) | |
| 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist (Licence: CA A49366) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2024-05-15 |