| NPI | 1912905977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 35135) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME89144) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NC 35135) | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2016-12-06 |