| NPI | 1043862451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 342353) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CT 83869) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2026-07-17 |