| NPI | 1083600522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NY 222210) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NC 2009-00068) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2022-04-08 |