| NPI | 1841292489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX K8819) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: TX K8819) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2008-01-28 |