| NPI | 1932311974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MO 2010007399) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 036125821) |
| 207R00000X Internal Medicine (Licence: NY 241994) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: MO 2010007399) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-11-10 |