| NPI | 1558658666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NY 287606) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 287606) |
| 207R00000X Internal Medicine (Licence: IL 125059034) | |
| Enumeration Date | 2011-07-10 |
| Last Update Date | 2018-03-28 |