| NPI | 1336460872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 269696) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010018454) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 269696) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2018-12-22 |