| NPI | 1174510267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NY 2313641) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 231364) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NY 231364) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2023-03-07 |