| NPI | 1942301403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0037891) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: MD D0037891) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2025-09-18 |