| NPI | 1932239837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA G036396) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: CA G036396) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G036396) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA G036396) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CA G036396) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2015-11-16 |