| NPI | 1740243864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 206354) |
| Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: NY 206354) |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: NY 206354) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2018-11-20 |