NPI | 1144411745 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 258269) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD427573) |
207R00000X Internal Medicine (Licence: NY 258269) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 258269) | |
Enumeration Date | 2007-08-07 |
Last Update Date | 2024-07-03 |