| NPI | 1992238695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 337755) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 337755) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: LA 337755) | |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2023-07-20 |