| NPI | 1811970981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME86144) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: SC 13946) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 056807) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: FL ME86144) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: SC 13946) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: GA 056807) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2013-12-13 |