| NPI | 1225060684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 219320) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 2193201) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD60341312) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 219320) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-12-01 |