| NPI | 1750476834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 20701) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 20701) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: KY 20701) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-02-27 |