| NPI | 1114911633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 183643) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NY 183643) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2015-01-30 |