| NPI | 1700913076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 193834) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA07899900) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 193834) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2024-09-10 |