| NPI | 1932109683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX J8393) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX J8393) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX J8393) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TX J8393) | |
| 2085B0100X Radiology, Body Imaging (Licence: TX J8393) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX J8393) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX J8393) | |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2022-01-21 |