| NPI | 1861490195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 200301049) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 26794) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NC 200301049) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: SC 26794) | |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2017-06-08 |