| NPI | 1134564263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA 140413) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 304300) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA T22260) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 288860) | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2025-05-27 |