| 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 |