| NPI | 1386685923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 56310) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 123352) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 56310) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 123352) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-01-23 |