| NPI | 1144563172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NY 285250) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 285250) |
| 207R00000X Internal Medicine (Licence: NY 285250) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2020-11-13 |