| NPI | 1285959858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A172624) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 276160) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 276160) | |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2022-10-18 |