| NPI | 1073773446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 248456) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 248456) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: NY 248456) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2016-01-11 |