| NPI | 1831252352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY TP941) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036-065047) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: MI 4301096846) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2022-07-05 |