| NPI | 1972759124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ID M-12863) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: ID M-12863) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2019-11-12 |