| NPI | 1285845370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 264079) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 430) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 264079) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301089866) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-06-19 |