NPI | 1659518694 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 249517) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 249517) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 249517) | |
Enumeration Date | 2009-01-13 |
Last Update Date | 2019-01-23 |