| NPI | 1932105210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35045380) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD017919E) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: OH 35045380) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: PA MD017919E) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2016-09-19 |