| NPI | 1184693228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 220698) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ MA067084) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 220698) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ MA067084) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2021-04-01 |