| NPI | 1417925256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA OS010899L) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 241873-01) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OS010899L) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 241873-01) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2026-01-28 |