| NPI | 1538378427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OK 35506) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 243959) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 243959) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 243959) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-04-27 |