| NPI | 1366527251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CT 54709) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 228262) |
| 207R00000X Internal Medicine (Licence: MI 4301091365) | |
| 207R00000X Internal Medicine (Licence: NY 228262) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 54709) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301091365) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 228262) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301091365) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2019-07-01 |