| NPI | 1265401152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 220423) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ MA220423) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 220423) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2023-10-06 |