| NPI | 1770679557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 241554) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 241554) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 241554-1) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2021-10-11 |