| NPI | 1841247384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A78646) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A78646) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2019-02-13 |