| NPI | 1922086354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 170563-1) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NY 170563-1) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2012-01-10 |