| NPI | 1811927726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60556181) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60556181) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 23554-020) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: WI 23554-020) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2019-07-25 |