| NPI | 1548453939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 280066) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.094496) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2010014074) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2015-08-10 |