| NPI | 1023399870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 299656) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS016611) |
| 207R00000X Internal Medicine (Licence: NY 299656) | |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2021-02-04 |