NPI | 1265792816 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 280409) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA10662300) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD453636) | |
Enumeration Date | 2012-05-16 |
Last Update Date | 2023-06-21 |