| NPI | 1912916099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: SC 25486) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: SC 25486) |
| 207UN0902X Nuclear Medicine Nuclear Imaging & Therapy (Licence: SC 25486) | |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2017-04-25 |