| NPI | 1023094117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 286629) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-094169) |
| 207R00000X Internal Medicine (Licence: MA 218693) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 218693) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 218693) | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2016-10-18 |