| NPI | 1831469832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 67557) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 276413) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NY 276413) | |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2023-03-25 |