| NPI | 1194962068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 003324) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VT 042-0011792) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2013-09-12 |