| NPI | 1780651497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 240955) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A71805) |
| 207R00000X Internal Medicine (Licence: MA 217031) | |
| 207R00000X Internal Medicine (Licence: NY 240955) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 240955) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2017-06-13 |