| NPI | 1306891767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 252062) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CT 044357) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2024-04-11 |