| NPI | 1750340485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 43757) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 43757) |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: MN 43757) | |
| 2471C3401X Radiologic Technologist, Computed Tomography (Licence: MN 43757) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2017-11-09 |