| NPI | 1740247857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CO 20894) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: CO 20894) |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: CO 20894) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2015-03-11 |