| NPI | 1407260896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 310856) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 310856) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 310856) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2023-12-26 |