NPI | 1851370092 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA07387700) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA07387700) |
207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NJ 25MA07387700) | |
Enumeration Date | 2006-01-16 |
Last Update Date | 2019-05-29 |