| NPI | 1639130925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 168098) |
| Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: NY 168098) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 168098) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2018-11-20 |