| NPI | 1902293210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101273918) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101273918) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: VA 0101273918) | |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2023-07-14 |