| NPI | 1902830888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME22451) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME22451) |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: FL ME22451) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2011-08-22 |