| NPI | 1386907715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 317520) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 262558) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 20739) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MB11052000) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 317520) | |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2022-07-12 |