| NPI | 1821258179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 250493) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: MA 250493) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: MA 250493) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2020-11-04 |