| NPI | 1902823859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: TN 43308) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 43308) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 43308) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2023-07-20 |