| NPI | 1508837287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NY 244925) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: PA MD426289) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2016-05-02 |