| NPI | 1689017329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 294124) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NY 294124) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2020-06-10 |