| NPI | 1891796215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: PA 3026) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD036737E) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-10-15 |