| NPI | 1295963072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 274314-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 274314-1) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CT 56587) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NY 274314-1) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2022-07-10 |