| NPI | 1033418223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 276092) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 0734) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2018-04-03 |