| NPI | 1912996356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A89153) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A89153) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CA A89153) | |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2023-03-07 |