| NPI | 1952395782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME115672) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 038457) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME115672) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 38457) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: GA 38457) | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: GA 38457) | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2019-08-30 |