| NPI | 1225022320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD152784) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA08648200) |
| 207R00000X Internal Medicine (Licence: TN MD27662) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08648200) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD446195) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA08648200) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NH LT-3476) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MD D89714) | |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2021-02-18 |