| NPI | 1770585184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL 59353) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: FL ME59353) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME59353) | |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2024-10-27 |