| NPI | 1417143488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 274125) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 274125) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2014-11-03 |