| NPI | 1629271754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 244265) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 244265) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: NY 244265) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-11-30 |