| NPI | 1457527962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 299381) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD443223) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2020-11-24 |