| NPI | 1609934256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 241209-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 241209) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2016-09-13 |