| NPI | 1760910335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 314612) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT213460) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2023-06-08 |