| NPI | 1154422236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 233540) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A75391) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 233540) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2014-06-17 |