| NPI | 1740430214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 250408) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 250408) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101264791) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101264791) | |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2024-07-29 |