| NPI | 1417341850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101286397) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 294844) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 294844) | |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2025-09-17 |