| NPI | 1053322198 |
|---|---|
| Former Name | N/A N/A |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 234348) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 234348) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: NY 234348) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2016-02-22 |