| NPI | 1740619055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR DO199096) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR DO199096) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: OR DO199096) | |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2020-07-31 |