| NPI | 1477739597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A145769) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 244155) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 246770) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NV 16397) | |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2019-07-16 |