| NPI | 1073500286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 248287) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NY 248287) |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: NY 248287) | |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2010-11-09 |