| NPI | 1942279401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A54064) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: CA A54064) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2017-05-02 |