| NPI | 1396783999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 220768) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 220768) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 220768) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2015-08-24 |