| NPI | 1821452954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 96694) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 65889) |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: GA 96694) | |
| 207R00000X Internal Medicine (Licence: GA 96694) | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2023-10-11 |