| NPI | 1760465793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 47606) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA L015253) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA R070127) | |
| 207R00000X Internal Medicine (Licence: LA MD.015253) | |
| 207R00000X Internal Medicine (Licence: MA 47606) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: MA 47606) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NH 6918) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: LA MD.015253) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 6918) | |
| 207R00000X Internal Medicine (Licence: NH 6918) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2014-10-17 |