| NPI | 1922082411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX L2714) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L2714) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: TX L2714) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: TX L2714) | |
| 2085B0100X Radiology Body Imaging (Licence: TX L2714) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: TX L2714) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: TX L2714) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2018-09-28 |