| NPI | 1710120829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MA 277123) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 266353) |
| 207R00000X Internal Medicine (Licence: MA 277123) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 266353) | |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2018-10-05 |