| NPI | 1891157202 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: MA 1023977)  | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD466890)  | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 3013573)  | |
| Enumeration Date | 2016-03-24 | 
| Last Update Date | 2025-06-18 |