| NPI | 1720251549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 54031) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CT 54031) |
| 207R00000X Internal Medicine (Licence: NY 254548) | |
| Enumeration Date | 2008-04-12 |
| Last Update Date | 2020-09-30 |