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 |