| NPI | 1841279916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101050179) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME50173) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: VA 0101050179) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2011-08-22 |