| NPI | 1174841035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 288105) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NY 288105) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 288105) | |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2017-05-02 |