| NPI | 1730144494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: HI MD 16647) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0056569) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0056569) | |
| 207U00000X Nuclear Medicine (Licence: FL ME0056569) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2015-12-18 |