| NPI | 1083000525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246X00000X Spec/Tech, Cardiovascular (Licence: NY 317454) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 317454) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2022-08-04 |