| NPI | 1811054703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08402000) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 248059) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01063095A) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA08402000) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 248059) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01063095A) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2022-01-28 |