| NPI | 1245506625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX S8364) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA10616100) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CT 67087) | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2022-06-22 |